Emory Hospitals An Overview

1
Emory Hospitals An Overview

• Emory University Hospital
• Emory Crawford Long Hospital
• Wesley Woods Hospital/Center
• more than a hospital
• Robert J. Bachman , Chief Operating Officer, EUH
• Mark Aycock, Chief Financial Officer, Emory
  Hospitals

2
Emory Hospitals - An Overview

• Beginnings
• Current Configuration
• Leadership (Management)
• Services
• Operational Statistics

3
Emory University Hospital Beginnings/Current
Configuration

• Chartered in 1904/Opened as Wesley Memorial
  Hospital in 1905
• Moved to Emory campus in 1920s
• Currently
• Licensed to operate 579 beds
• Actual 360 Med/Surg Beds
• 82 ICU Beds (new 20 bed NICU open in 1/07)
• 52 Rehab Beds (38 in use)
• 20 Psych Beds (18 in use)

4
Emory Hospitals Leaderhsip

• EUH Robert J. Bachman, COO
• Mark Aycock, CFO
• Susan Grant, R.N., CNO, EHC
• Ira Horowitz, M.D., CMO
• Nathan Spell, M.D., CQO
• ECLH Albert Blackwelder, COO
• James Steinberg, CMO
• Richard Gitomer, M.D., CQO
• WW Peter Basler, COO
• Joseph Ouslander, M.D., CMO

5
Emory Healthcare - System Leadership For EHs

• John T. Fox, President/CEO
• James Hatcher, CFO
• Susan Grant, R.N., CNO
• William Bornstein, M.D., Ph.D., CQO

6
Emory University Hospital

• 12,000 surgeries (300 transplants)
• 700 Heart surgeries/
• 28,000 ED visits (28 of pts admitted)
• 494 - Adjusted Average Daily Census
• 27,500 Adjusted Admissions
• 2,700 FTEs (3,300 employees)
• ALOS 6.4 days
• CMI 2.15

7
Emory University HospitalServices

• Cardiology/Cardiovascular Surgery
• Oncology WCI
• Neurology/NeuroSurgery
• Transplantation
• Orthopaedics
• The Rollins Pavilion
• No OB/No Pediatrics - CHOA

8
Emory University Hospital Organizational Chart
President Chief Executive Officer EMORY
HEALTHCARE John T. Fox
Chief Quality Officer, Emory Healthcare/Chief
Medical Officer, Emory Hospitals William A.
Bornstein, MD, PhD
Chief Operating Officer EUH Senior Associate
Administrator Emory Hospitals Robert J. Bachman
Medical Staff
Infection Control EHC Information Systems
Medical Director Medical Staff Office Risk
Management Office
Chief Medical Officer Ira Horowitz, MD
Development Pathology Laboratory
Services Pharmacy Imaging Services Transplant
Services
Hospital Auxiliary
Associate Medical Director Donald C. Davis, MD,
PhD
Associate Administrator Emory Hospitals David E.
Pugh
Associate Administrator Chief Operating
Officer Emory Hospitals CRM, Mental Health
Services, Wesley Woods Peter A. Basler, Jr.
Associate Administrator Emory Hospitals Toni F.
Wimby, CHE
Chief Human Resources Officer Emory
Healthcare Margaret A. Bloomquist, SPHR
Chief Financial Officer Emory Healthcare James T.
Hatcher, CPA
Chief Nursing Officer Emory Healthcare Susan M.
Grant, MS, RN, CNAA
Center for Rehabilitation Medicine Hospital
Rehabilitation Services Mental Health Services

• Food Nutrition Services
• Guest Volunteer Services
• Neurodiagnostics Testing
• Pastoral Services
• Respiratory Care Services
• Electrocardiography
• Pulmonary Function
• Respiratory Therapy

• Education Learning Services
• Employee Health Services
• Workers Compensation
• Educational Information Media Services
• Medical Library
• EHC Service Performance

• Materials Management
• Purchasing
• Social Services
• Clinical Resource Management
• Value Analysis

• Anesthesiology Services
• Facility Planning Development
• Facility Services
• Environmental Services
• Laundry
• Facilities Management
• Property Management
• Public Safety
• Safety
• Medical Engineering
• Telecommunications

Gambro Medical Services Patient Services
Information Systems Nursing Systems Integration
Maternity Services Oncology Services
Perioperative Endoscopic Services Support
Systems General Surgery Transplant
Services Surgical Specialties/Community
Services Geriatric Nursing Services Emergency
Services
Chief Financial Officer Emory Hospitals Mark A.
Aycock
Associate Administrator Emory Hospitals Barbara
E. Hargett, RN

• Financial Services
• Accounts Payable
• Decision Support
• Financial Planning
• General Accounting
• Payroll
• Management Engineering
• Medical Records
• Patient Accounts
• Admissions
• Audit Coordinators
• Business Office

Assistant Administrator Emory Hospitals Larry F.
Hodges, CHE
Assistant Administrator Emory Hospitals M. June
Connor, RN
Assistant Administrator Emory Hospitals Jane
Vosloh, RN
Clinical Performance Improvement Regulatory/Accred
itation
GID Operating Room PACU Ambulatory
Surgery Sterile Processing Same Day Surgery Pre
Admit Testing
Human Resources

• Cardiac Services
• EP
• Cardiac Cath Lab
• Heart Failure Program
• Cardiac Nursing Services

Chief Quality Officer Nathan Spell, MD
Source Administration, Emory Hospitals
Updated September 2006
9
Emory Crawford Long Hospital

• Licensed for 511 beds 420 beds in service
• Emergency Room - 50,000 visits/year
• 14,000 surgeries (IP OP) 1,100 cardiac
• OB - 4,200 births/year
• Open Medical Staff
• Long Term Acute Care Hospital
• CMI 1.6
• FTEs 2300
• Adjusted FTEs per AOB 4.8
• Adjusted Admissions 33,000/year
• ALOS 5 days

10
Emory Crawford Long Hospital Organizational Chart
President Chief Executive Officer EMORY
HEALTHCARE John T. Fox
Chief Operating Officer ECLH Senior Associate
Administrator Emory Hospitals Albert K.
Blackwelder, FACHE
Chief Quality Officer, Emory Healthcare/Chief
Medical Officer, Emory Hospitals William A.
Bornstein, MD, PhD
Medical Staff
Cardiothoracic Research Lab Development
Infection Control EHC Information Systems
Medical Director Medical Staff Office Risk
Management Office
Chief Medical Officer James P. Steinberg, MD
Hospital Auxiliary
Associate Medical Director James K. Bennett, MD
Associate Medical Director William M. McKinnon, MD
Associate Administrator Emory Hospitals Toni F.
Wimby, CHE
Associate Administrator Emory Hospitals David E.
Pugh
Associate Administrator Chief Operating
Officer Emory Hospitals CRM, Mental Health
Services, Wesley Woods Peter A. Basler, Jr.
Chief Human Resources Officer Emory
Healthcare Margaret A. Bloomquist, SPHR
Chief Nursing Officer Emory Healthcare Susan M.
Grant, MS, RN, CNAA
Chief Financial Officer Emory Healthcare James T.
Hatcher, CPA

• Anesthesiology Services
• Facility Planning Development
• Facility Services
• Environmental Services
• Laundry
• Facilities Management
• Property Management
• Public Safety
• Safety
• Medical Engineering
• Telecommunications

Gambro Medical Services Patient Services
Information Systems Nursing Systems Integration
Maternity Services Oncology Services
Perioperative Endoscopic Services Support
Systems General Surgery Transplant
Services Surgical Specialties/Community
Services Geriatric Nursing Services Emergency
Services

• Food Nutrition Services
• Guest Volunteer Services
• Neurodiagnostics Testing
• Pastoral Services
• Respiratory Care Services
• Electrocardiography
• Pulmonary Function
• Respiratory Therapy

• Financial Services
• Accounts Payable
• Decision Support
• Financial Planning
• General Accounting
• Payroll
• Materials Management
• Purchasing
• Social Services
• Clinical Resource Management
• Value Analysis

Hospital Rehabilitation Services LTAC

• Education Learning Services
• Employee Health Services
• Workers Compensation
• Educational Information Media Services
• Medical Library
• EHC Service Performance

Associate Administrator Emory Hospitals Barbara
E. Hargett, RN
Chief Financial Officer Emory Hospitals Mark A.
Aycock
Clinical Performance Improvement Regulatory/Accred
itation

• Management Engineering
• Medical Records
• Patient Accounts
• Admissions
• Audit Coordinators
• Business Office

Chief Quality Officer Richard Gitomer, MD
Assistant Administrator Emory Hospitals Larry F.
Hodges, CHE
Assistant Administrator Emory Hospitals Jane
Vosloh, RN
Assistant Administrator Emory Hospitals M. June
Connor, RN

• Cardiac Services
• EP
• Cardiac Cath Lab
• Heart Failure Program
• Cardiac Nursing Services

GID Bronchoscopy Operating Room PACU Ambulatory
Surgery Sterile Processing Same Day Surgery Pre
Admit Testing
Human Resources
Source Administration, Emory Hospitals
Updated September 2006
11
Wesley Woods Hospital

• 100 Geriatric Hospital
• Long Term Acute Care Hospital
• No ED/OR/ICU
• Continuum of Care
• Budd Terace

12
Wesley Woods Center Organizational Chart
CEO, Woodruff Health Sciences Center
Chairman of the Board, EHC Chairman of the Board,
WWC Michael M.E. Johns, MD
President Chief Executive Officer EMORY
HEALTHCARE John T. Fox
Chief Quality Officer, Emory Healthcare/Chief
Medical Officer, Emory Hospitals William A.
Bornstein, MD, PhD
Chief Operating Officer Wesley Woods Center
Peter A. Basler, Jr.
Infection Control EHC Information Systems
Medical Director Medical Staff Office Risk
Management Office
Chief Medical Officer Wesley Woods Center Joseph
G. Ouslander, MD
Pastoral Services Director Elwood H. Spackman
Development Rehabilitation Services Mental Health
Services
Assistant Administrator Emory Hospitals Barbara
E. Hargett, RN
Medical Director Wesley Woods Hospital Frank W.
Brown, MD
Medical Director Long Term Care Jeff Lesesne,
MD
Medical Director Long Term Acute Care
Hospital Gerry Staton, MD
Clinical Performance Improvement Regulatory/Accred
itation
Director of Quality, Wesley Woods Center Vicki
Davis
Associate Administrator Chief Human Resources
Officer Emory Hospitals Margaret A. Bloomquist,
SPHR
Associate Administrator Chief Financial
Officer Emory Hospitals James T. Hatcher, CPA
Chief Nursing Officer Emory Healthcare Susan M.
Grant, MS, RN, CNAA
Budd Terrace Administrator Janice Langford
Health Center Administrator WWC Assoc.
Administrator William J. Such
Wesley Woods, Inc. CEO Ken Weber
Medical Services Patient Services Information
Systems Geriatric Nursing Services

• Education Learning Services
• Employee Health Services
• Workers Compensation
• Educational Information Media Services
• Medical Library
• EHC Service Performance

• Materials Management
• Purchasing
• Social Services
• Clinical Resource Management
• Value Analysis

SOURCE Director Jennifer Schuck
Wesley Woods Clinic Administrator JoAnn Croley
Director of Nursing Wesley Woods Center Becky
Provine, RN
Assistant Administrator Emory Hospitals Mark A.
Aycock
Assistant Administrator Emory Hospitals Larry F.
Hodges, CHE

• Financial Services
• Accounts Payable
• Decision Support
• Financial Planning
• General Accounting
• Payroll
• Management Engineering
• Medical Records
• Patient Accounts
• Admissions
• Audit Coordinators
• Business Office

Wesley Woods LTAC Administrator William J. Such
Human Resources
Wesley Woods Long Term Acute Hospital (LTAC) is
a separate corporate entity with a management
agreement with Wesley Woods Center
Source Administration, Emory Hospitals
Updated September 2006
13
Emory Hospitals FY07 Budget

• Total Operating Revenues of 1.025 billion from
  2.1 billion in billings
• Emory University Hospital 586 million (57)
• Emory Crawford Long Hospital 384 million (38)
• Wesley Woods Center 55 million (5)
• Total Operating Expenses of 957 million
• Operating Income of 68 million or 6.6

14
Cardiology ServicesMarket Share 2004Emory
Hospitals combined 15
15
Orthopaedics and Spine ServicesMarket Share
2004Emory Hospitals combined 8
16
Oncology ServicesMarket Share 2004Emory
Hospitals combined 16
17
Neuroscience ServicesMarket Share 2004Emory
Hospitals combined 14
18
Emory University HospitalFY2007 Payer Mix
Information
19
Emory Crawford Long HospitalFY2007 Payer Mix
Information
20
Wesley Woods HospitalFY2007 Payer Mix Information
21
Emory Crawford Long HospitalFY2007 Expense
Information (957M)
22
Emory Hospitals Cash Flow FY2007

• Cash Generated from Operations 105 million
• LESS
• Debt Principal Payments 30 million
• Capital Expenditures 37 million
• Clifton Road Development 12 million
• WHSCAB SOM Funding 34 million
• Funding Total 113 million
• This is our biggest financial challenge as a
  health science center.

23
Medical Education

• Hospital, via billing from GME office,
  reimburses SOM for residents in accredited
  programs
• Hospital is then partially reimbursed for this
  expense from the Medicare program through the
  filing of an annual cost report
• Medicare has capped Emory Hospitals resident FTEs
  at 356
• Tightly regulated area, particularly on
  accounting for residents time and the location
  where they are working

24
Research

• The hospitals have a standard rate of 35 of
  charges for research (was 40 in FY2006)
• Hospital rates change each September and a new
  listing of charges is provided to the Clinical
  Trials Office for download into the Siteminder
  System
• Upfront identification of research patients is a
  must if proper hospital billing is to occur
• Research revenues are budgeted at 1.5 million
  for FY07 (0.1 of hospital revenues)

25
Emory Hospitals An Overview

• Q U E S T I O N S

26
Emory Healthcare Organizational Chart
CEO, Woodruff Health Sciences Center Chairman
of the Board, EHC Michael M.E. Johns, MD
Chief of Staff Gary L. Teal, MBA
President and Chief Executive Officer John T.
Fox
Director,The Emory Clinic Wright Caughman, MD
President CEO, Emory Childrens Center
Barbara J. Stoll, MD
Chief Operating Officer,Emory University
Hospital Robert J. Bachman
Chief Quality Officer William A. Bornstein, MD,
PhD
Chief Operating Officer,Wesley Woods Center
Pete A. Basler, Jr.
Senior Director, Managed Care S. Patrick Hammond
Chief Operating Officer, The Emory Clinic Donald
I. Brunn
Chief Compliance Officer Anne Adams, JD
Chief Operating Officer,Emory Crawford Long
Hospital Albert K. Blackwelder
Senior Director, Marketing Una H. Newman
Chief Information Officer Dedra Cantrell
Chief Financial Officer, Emory
Healthcare James T. Hatcher, CPA
Chief Human Resources Officer Margaret A.
Bloomquist
Associate Administrator Debra Bloom, APR
Chief Nursing Officer,Emory Healthcare Susan M.
Grant, RN, MS, CNAA-BC
Senior Director, Risk Insurance
Svcs. Shulamith Klein
Executive Director, Emory Center for Pastoral
Services Elwood H. Spackman, M.Div.
Source Emory Healthcare, Office of the
President and Chief Executive Officer
Updated October 2006